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1053516930
KATHRYN A PROVENCHER
SCHENECTADY, NY
NPI
1053516930
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NY 002564)
Enumeration Date
2007-06-19
Last Update Date
2007-07-08
Business Address
-- KATHRYN A PROVENCHER LMHC
216 LAFAYETTE ST
SCHENECTADY, NY 12305-2408
Phone number: 518-243-3300
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Mailing Address
-- KATHRYN A PROVENCHER LMHC
1462 ERIE BLVD SUITE 2
SCHENECTADY, NY 12305-1026
Phone number: 518-243-1500
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